| Grant Services For The Disabled , Inc. | |
|
1603 Hidden Hills Pkwy Stone Mountain GA 30088-3815 | |
| (770) 879-5507 | |
| (678) 691-4082 |
| Full Name | Grant Services For The Disabled , Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1603 Hidden Hills Pkwy, Stone Mountain, Georgia |
| Authorized Official Name and Position | Sharon Lewis Menton (DIRECTOR/CEO) |
| Authorized Official Contact | 7708795507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Services For The Disabled , Inc. 1603 Hidden Hills Pkwy Stone Mountain GA 30088-3815 Ph: (770) 879-5507 | Grant Services For The Disabled , Inc. 1603 Hidden Hills Pkwy Stone Mountain GA 30088-3815 Ph: (770) 879-5507 |
| NPI Number | 1013208651 |
|---|---|
| Provider Enumeration Date | 05/01/2011 |
| Last Update Date | 05/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013208651 | NPI | - | NPPES |
| #032168215B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 044-01-396-1 (Georgia) | Primary |
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